Organization
ALPHA LIFE INTEGRATED MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY DALE WARREN DC (AUTHORIZED OFFICIAL)
(316) 882-5353
Entity
Organization
Contact information
Practice address
600 E JOHN CARPENTER FWY STE 354, IRVING, TX 75062-3990
(214) 888-2171
Mailing address
600 E JOHN CARPENTER FWY STE 354, IRVING, TX 75062-3990
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
12/27/2017
Last updated
02/07/2018
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